CORE updates operating rules for use with remittance advice standard
AHA News Now
Feb 22, 2013
The Committee on Operating Rules for Information Exchange has published updated operating rules for code combinations used with the Health Insurance Portability and Accountability Act's remittance advice standard. The remittance advice standard uses Claim Adjustment Reason Codes and Remittance Advice Remark Codes to explain how a health plan adjudicated an electronic health care claim. The updated operating rules promote consistency in the use of these codes to comply with new operating rules for remittance advice and electronic funds transfer under the Patient Protection and Affordable Care Act.